Most Relevant Information
Provider Data
| NPI Number: | 1003514506 |
| Provider Name: | KARA ANN SULLIVAN LPCMH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 0011093 |
Most Important Dates
| Enumeration Date: | 02/23/2023 |
| Last Updated: | 02/23/2023 |
Provider Practice Location
19409 PLANTATION RD # 4
REHOBOTH BEACH
DE
199714493
Practice Location Phone/Fax
| Phone: | 3022241400 |
| Fax: |
Provider Mailing Location
19409 PLANTATION RD # 4
REHOBOTH BEACH
DE
199714493
Provider Mailing Phone/Fax
| Phone: | 3022241400 |
| Fax: |